Organization
MONTEVALLO FAMILY MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JONATHAN C. MERKLE M.D. (PHYSICIAN)
(205) 665-7991
Entity
Organization
Contact information
Practice address
33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115-3586
(205) 665-7991
(205) 665-2913
Mailing address
33 SALEM RD, SUITE 1, MONTEVALLO, AL 35115-3586
(205) 665-7991
(205) 665-2913
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21192
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51517997
—
AL
05
—
529911870
—
AL
Enumeration date
07/22/2006
Last updated
11/07/2011
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